Individual
CORIGANN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1321 S PRAIRIE AVE, PUEBLO, CO 81005-2307
(719) 597-0822
Mailing address
1321 S PRAIRIE AVE, PUEBLO, CO 81005-2307
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/13/2026
Last updated
07/13/2026
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